Diferencia entre revisiones de «Template:Antibiotics Open Fracture/es»

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(Created page with "*Preocupación por clostridium (contaminación por tierra, lesiones agrícolas, posible contaminación intestinal): agregar adicionalmente penicilina<ref>HoffWS, Bonadies JA, Cachecho R, Dorlac WC: East practice management guidelines work group: Update to practice management guidelines for prophylactic antibiotic use in open fractures. J Trauma 2011;70:751-754.</ref><ref name=Garner2020>Garner MR, et al...")
 
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===Antibióticos Profilácticos para [[Special:MyLanguage/Open fractures|Fracturas abiertas]]===
===Antibióticos Profilácticos para [[Special:MyLanguage/Open fractures|Fracturas abiertas]]===


<div lang="en" dir="ltr" class="mw-content-ltr">
''Iniciar lo más pronto posible; tasa de infección aumentada cuando se retrasa<ref>Gosselin RA, et al. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2004; (1):CD003764.</ref>''
''Initiate as soon as possible; increased infection rate when delayed<ref>Gosselin RA, et al. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2004; (1):CD003764.</ref>''
</div>




<div lang="en" dir="ltr" class="mw-content-ltr">
====Opciones para [[Special:MyLanguage/Open_fracture|Fracturas Grado I y II]]====
====[[Special:MyLanguage/Open_fracture|Grade I & II Fractures]] Options====
</div>


<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/Cefazolin|Cefazolin]] (Ancef) 2 g IV (inmediatamente y cada 8 horas x 3 dosis totales)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*[[Special:MyLanguage/Cefazolin|Cefazolin]] (Ancef) 2 g IV (immediately and q8 hours x 3 total doses)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Alergia a cefalosporina: [[Special:MyLanguage/clindamycin|clindamicina]] 900 mg IV (inmediatamente y cada 8 horas x 3 dosis totales)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Cephalosporin allergy: [[Special:MyLanguage/clindamycin|clindamycin]] 900 mg IV (immediately and q8 hours x 3 total doses)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
</div>




<div lang="en" dir="ltr" class="mw-content-ltr">
====Opciones para [[Special:MyLanguage/Open_fracture#Grade_III|Fractura Grado III]]====
====[[Special:MyLanguage/Open_fracture#Grade_III|Grade III Fracture]] Options====
</div>


<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/Ceftriaxone|Ceftriaxona]] 2 g IV (inmediatamente x 1 dosis total) MÁS [[Special:MyLanguage/vancomycin|vancomicina]] 1 g IV (inmediatamente y cada 12 horas x 2 dosis totales)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*[[Special:MyLanguage/Ceftriaxone|Ceftriaxone]] 2 g IV (immediately x 1 total dose) PLUS [[Special:MyLanguage/vancomycin|vancomycin]] 1 g IV (immediately and q12 hours x 2 total doses)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Alergia a cefalosporina: [[Special:MyLanguage/aztreonam|aztreonam]] 2 g IV (inmediatamente y cada 8 horas x 3) MÁS [[Special:MyLanguage/vancomycin|vancomicina]] 1 g IV (inmediatamente y cada 12 horas x 2 dosis totales)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Cephalosporin allergy: [[Special:MyLanguage/aztreonam|aztreonam]] 2 g IV (immediately and q8 hours x 3) PLUS [[Special:MyLanguage/vancomycin|vancomycin]] 1 g IV (immediately and q12 hours x 2 total doses)<ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
</div>




<div lang="en" dir="ltr" class="mw-content-ltr">
====Consideraciones Especiales====
====Special Considerations====
</div>


<div lang="en" dir="ltr" class="mw-content-ltr">
*Preocupación por [[Special:MyLanguage/clostridium|clostridium]] (contaminación por tierra, lesiones agrícolas, posible contaminación intestinal): agregar adicionalmente [[Special:MyLanguage/penicillin|penicilina]]<ref>HoffWS, Bonadies JA, Cachecho R, Dorlac WC: East practice management guidelines work group: Update to practice management guidelines for prophylactic antibiotic use in open fractures. J Trauma 2011;70:751-754.</ref><ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Concern for [[Special:MyLanguage/clostridium|clostridium]] (soil contamination, farm injuries, possible bowel contamination): additionally add [[Special:MyLanguage/penicillin|penicillin]]<ref>HoffWS, Bonadies JA, Cachecho R, Dorlac WC: East practice management guidelines work group: Update to practice management guidelines for prophylactic antibiotic use in open fractures. J Trauma 2011;70:751-754.</ref><ref name=Garner2020>Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315</ref>
*Heridas con agua dulce: [[Special:MyLanguage/fluoroquinolones|fluoroquinolonas]] O cefalosporina de 3ra/4ta generación
*Fresh water wounds: [[Special:MyLanguage/fluoroquinolones|fluoroquinolones]] OR 3rd/4th generation [[Special:MyLanguage/cephalosporin|cephalosporin]]
*Heridas con agua salada ([[Special:MyLanguage/vibrio|vibrio]]): [[Special:MyLanguage/doxycycline|doxiciclina]] + [[Special:MyLanguage/ceftazidime|ceftazidima]] O [[Special:MyLanguage/fluoroquinolone|fluoroquinolona]]
*Saltwater wounds ([[Special:MyLanguage/vibrio|vibrio]]): [[Special:MyLanguage/doxycycline|doxycycline]] + [[Special:MyLanguage/ceftazidime|ceftazidime]] OR [[Special:MyLanguage/fluoroquinolone|fluoroquinolone]]
</div>

Revisión actual - 08:45 23 ene 2026

Otros idiomas:

Antibióticos Profilácticos para Fracturas abiertas

Iniciar lo más pronto posible; tasa de infección aumentada cuando se retrasa[1]


Opciones para Fracturas Grado I y II

  • Cefazolin (Ancef) 2 g IV (inmediatamente y cada 8 horas x 3 dosis totales)[2]
  • Alergia a cefalosporina: clindamicina 900 mg IV (inmediatamente y cada 8 horas x 3 dosis totales)[2]


Opciones para Fractura Grado III

  • Ceftriaxona 2 g IV (inmediatamente x 1 dosis total) MÁS vancomicina 1 g IV (inmediatamente y cada 12 horas x 2 dosis totales)[2]
  • Alergia a cefalosporina: aztreonam 2 g IV (inmediatamente y cada 8 horas x 3) MÁS vancomicina 1 g IV (inmediatamente y cada 12 horas x 2 dosis totales)[2]


Consideraciones Especiales

  1. ↑ Gosselin RA, et al. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2004; (1):CD003764.
  2. ↑ 2.0 2.1 2.2 2.3 2.4 Garner MR, et al. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. Journal of the American Academy of Orthopaedic Surgeons. April 15, 2020. 28(8):309-315
  3. ↑ HoffWS, Bonadies JA, Cachecho R, Dorlac WC: East practice management guidelines work group: Update to practice management guidelines for prophylactic antibiotic use in open fractures. J Trauma 2011;70:751-754.
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